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价值观、决策与经验生命伦理学:一种用于经验性识别和分析价值判断的概念模型。

Values, decision-making and empirical bioethics: a conceptual model for empirically identifying and analyzing value judgements.

机构信息

Institute for Ethics, History and Philosophy of Medicine, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

Institute of Philosophy, Leibniz University Hannover, Hannover, Germany.

出版信息

Theor Med Bioeth. 2023 Dec;44(6):567-587. doi: 10.1007/s11017-023-09640-4. Epub 2023 Aug 17.

Abstract

It can be assumed that value judgements, which are needed to judge what is 'good' or 'better' and what is 'bad' or 'worse', are involved in every decision-making process. The theoretical understanding and analysis of value judgements is, therefore, important in the context of bioethics, for example, to be able to ethically assess real decision-making processes in biomedical practice and make recommendations for improvements. However, real decision-making processes and the value judgements inherent in them must first be investigated empirically ('empirical bioethics'). For this to succeed, what exactly a 'value judgement' is and of what components it might consist must initially be theoretically clarified. A corresponding conceptual model can then support or even enable empirical data collection and analysis and, above all, subsequent ethical analysis and evaluation. This paper, therefore, presents a value judgement model with its theoretical derivation. It also illustrates its application in an interview study of decision-making between animal experimentation and alternative methods in the context of biomedical research. Though the model itself can be theoretically deepened and extended, the application of the model works in general and helps to uncover what value judgements can enter into decision-making. However, the empirical methods, for example, qualitative interviews, can also be better oriented towards eliciting value judgements (as understood according to the model). Further applications of the model to other topics or by means of other empirical methods are conceivable.

摘要

可以假定,在每一个决策过程中,都需要进行价值判断,以判断什么是“好”或“更好”,什么是“坏”或“更坏”。因此,在生物伦理学领域,对价值判断的理论理解和分析非常重要,例如,能够对生物医学实践中的实际决策过程进行伦理评估,并提出改进建议。然而,必须首先从经验上研究实际的决策过程和其中所包含的价值判断(“经验生物伦理学”)。为了取得成功,首先必须从理论上澄清什么是“价值判断”,它可能由哪些组成部分组成。然后,相应的概念模型可以支持甚至能够进行经验数据的收集和分析,以及最重要的是,随后的伦理分析和评估。因此,本文提出了一个价值判断模型及其理论推导。它还说明了该模型在动物实验与替代方法在生物医学研究背景下的决策的访谈研究中的应用。虽然该模型本身可以在理论上进一步深化和扩展,但模型的应用总体上是可行的,有助于揭示价值判断可以进入决策的过程。然而,经验方法,例如定性访谈,也可以更好地针对引出价值判断(根据模型理解)。可以设想将该模型进一步应用于其他主题或通过其他经验方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea9f/10643456/b8edc744c35c/11017_2023_9640_Fig1_HTML.jpg

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